Skin Changes In Kidney Failure Patients
Skin damage is a common complication of Kidney Failure and it can affect patients’ life quality greatly. Follow us to know the skin damage to kidney patients.
A 39-year-old man was diagnosed with kidney disease. Due to poor appetite, nausea, vomiting and oliguria, he was hospitalized in Emergency Department. 5 months ago, he had urine output so he thought he had no need to take dialysis. He stopped the hemodialysis without doctor’s permission.
Physical examination showed blood pressure 167/80mmHg, drowsiness, slow speech, lower limb edema and breath with the stench of urine. There is a layer of white crystalline deposits outside the skin, mainly on the face and arms.
Laboratory tests indicate d blood urea 231mg/dl, serum creatinine 20.0mg/dl, sodium 125mmol/L and potassium 7.7mmol/L. He was given hemodialysis immediately. After dialysis, drowsiness was relieved. After 2 weeks of hospitalization, skin crystals (uremia cream) completely relieved.
Uremic cream is related to severe azotemia. This is caused by the significant increase of urea in sweat, and the residual urea crystals on the skin surface after sweat evaporation.
Except for uremia cream, ESRD patients can also suffer from the following skin lesions:
50%-92% dialysis patients suffer from xerosis. In severe case, it can develop to acquired ichthyosis. The specific reason is not clear, and emollients can be used to keep skin moist.
It is common to be seen clinically. It usually occurs after 6 months of dialysis. The longer you take dialysis, the higher you suffer from this disease. Treatment methods include: emollient use, optimization of dialysis adequacy, reducing serum calcium and phosphorus, and parathyroidectomy.
The incidence of pigmentation in dialysis patients is about 25%-70%, and brown pigmentation is relatively common, mainly after sunlight exposure.
4. Steal syndrome
Steal syndrome is the rare and serious complication in dialysis patients. Its signs are pain and numbness. Long-term of ischemia can cause gangrene, peripheral neuropathy or skin shrinkage. It is common in peripheral vascular disease and diabetes patients.
Skin problem is a common complication after dialysis. You should do adequate dialysis to relieve this problem. Besides, we recommend systematic Chinese Medicine Treatments like Micro-Chinese Medicine Osmotherapy, Medicated Bath, Medicated Foot Bath, Mai Kang Mixture, Steaming Therapy, Enema Therapy, Moxibustion Therapy and Medicinal Soup, etc. They can also remove uremic cream and other toxins from your body to treat skin damage. More importantly, these treatments repair kidney damage and improve renal function through expanding blood vessels, improving blood circulation, degrading extracellular matrix, preventing inflammation and coagulation, providing nutrients. When renal function is improved, kidneys can perform their functions effectively. Then itchy skin can disappear naturally.
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***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***